2024-026 Problems Notes Costs
Admission date2024-04-03
Final date -
Days in captivity37
SpeciesBWHA - Broad-winged hawk
AgeAHY
SexUNK
StatusReh
BandPurple R 024
Fracture - metacarpus, right

Cause of injury: Unknown

Found in Adamsville,AL
Jefferson county
Here is a summary of this patient's treatments and expenses:

Desc Qty Cost Subtotal
Examination175.0075.00
Daily rate3720.00740.00
Radiographs1087.75877.50
Physical therapy634.22205.32
Complete blood count158.0058.00
Packed cell volume18.078.07
Blood chemistry145.3545.35
Lab tests1Variable40.00
Total  2049.24

Costs are estimates based on fees charged at a local avian specialist.
Radiographs and images

2024-04-03

2024-04-08

2024-04-08

2024-04-22

2024-04-22

2024-04-22

2024-04-22

2024-05-06

2024-05-06

2024-05-06
2024-05-09 15:06 BT

Group entry: 2 animals
FOOD: 40g M, Ch, Q PER BIRD.

VitaHawk: Friday Only: Sprinkle 1/8 teaspoon per bird on food.

2024-05-07 16:22 JB

Group entry: 2 animals
FOOD: 40g M, Ch, Q PER BIRD.

2024-05-07 11:27 SAK

Band changed to: Purple R 024

2024-05-06 16:59 re

Group entry: 2 animals
FOOD: 30g M, Ch, Q PER BIRD.

VitaHawk: Friday Only: Sprinkle 1/8 teaspoon per bird on food.

2024-05-06 14:45 re

Moved to FA3

banded R purple 024

2024-05-06 13:30 SO

Figure 8 removed. Minimal to no instablity present. Patient is traumatizing cere and left carpus in cage. Laser therapy performed.
Patient taken to VTH and anesthetized with ISO via facemask. VD and CC views of the right metacarpus were taken. Boney callus and proliferation present. Facture lines begining to become less distinct. Boney healing present

Patient okayed to move to aviary. COntinue to monitore use and ROM

2024-05-06 11:50 SAK

ALL MEDS PO
======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ on 2024-05-09, 2024-05-13, 2024-05-16
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
PT: PROM Right wing
==============================
Update PT/NPO/Bup days

2024-05-06 10:27 re

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR, one pellet, normal mutes
small cere abrasion

2024-05-05 16:11 BT

ALL MEDS PO
Food: 17g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-05 08:53 CG

ALL MEDS PO
Food: 15g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Ate well
left pellet
wing wrap intact

2024-05-04 15:26 CG

ALL MEDS PO
Food: 16g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-04 09:06 BT

ALL MEDS PO
Food: 15g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-03 15:27 BT

ALL MEDS PO
30 g m
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-03 10:07 CG

Right wing was put through passive range of motion and PT while awake.
Wing was wrapped in a figure 8 pattern with vet wrap once PT was done.
The fracture of the right metacarpus still had mild instability.
The elbow and carpus had adequate range of motion.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before  
After150180
Notes
Performed PT while awake. Removed wing wrap and put the right wing through passive range of motion and massage. Wing was wrapped with vetwrap in a figure 8 pattern and the carpal bumper was secured with a tegaderm patch.
2024-05-03 10:00 CG

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-03 09:37 SAK

ALL MEDS PO
======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ on 2024-05-06, 2024-05-09, 2024-05-13,
2024-05-16
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
PT: PROM Right wing
==============================

2024-05-03 08:22 SAK

ALL MEDS PO
======= TREATMENT PLAN =======
Food: 15g M, Ch BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
==============================
Updated pt/npo

2024-05-02 15:51 BT

ALL MEDS PO
Food: 30 g m.
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-02 08:35 CG

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Ate well
wing wrap and carpal bumper intact

2024-05-01 16:23 CG

Removed bandage that had slipped past the elbow.
Replaced SAM splint
Re-wrapped right wing in a figure 8 pattern with a narrower roll of vetwrap to try and prevent it from slipping over the elbow.

2024-05-01 15:25 CG

Food: 15g M, Ch Put meds in food
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-05-01 09:23 CG
Weight: 360 grams
ALL MEDS PO
Food: 17g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Left pellet
Ate well
Bandage had slipped off the elbow and was loose
Left carpal bumper intact

1% weight increase

2024-04-30 16:44 re

ALL MEDS PO
Food: 15g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-30 10:27 SAK

ALL MEDS PO
======= TREATMENT PLAN =======
Food: 15g M, Ch BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
==============================
Bup to PT days only

2024-04-30 08:57 CG

ALL MEDS PO
Food: 15g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
No pellet
Ate well
Carpal bumper intact
Wing wrap had a loose strand approximately 5 inches long
Strand was cut and loose end was taped to remaining wing wrap

2024-04-29 16:31 SAK

Food: 31g M
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-29 10:00 CG

PT PROM performed under general anesthesia
The figure 8 wrap on the right wing had slipped down off the elbow.
026 was induced and maintained on isoflurane
Eyes were lubricated with optixcare and heart and respiratory rate were monitored every 5 minutes or less throughout the procedure.
While under anesthesia the wrap was removed, the wing was massaged and put through passive range of motion.
The was very mild instability of the fracture site at the right metacarpals.
A SAM splint was replaced on the right metacarpal region and the wing was wrapped in a figure 8 pattern with vetrap.

Scabbing was noticed over the left carpus so a carpal bumper was placed to protect the site.

Recovery from anesthesia was smooth and no complications were encountered.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before 150
After150170
2024-04-29 08:59 CG

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Left Pellet
Ate Well
Bandage had slipped and was only wrapped around elbow joint

2024-04-28 15:53 BT

ALL MEDS PO
Food: 15g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-28 09:37 BT

ALL MEDS PO
Food: 18g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-27 15:39 BT

ALL MEDS PO
Food: 15g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-27 10:01 BT

ALL MEDS PO
Food: 15g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-26 16:20 BT

ALL MEDS PO
40g m.

Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-26 13:39 CG

PT:
026's PT and PROM was performed under general anesthesia.
Induced and Maintained on Isoflurane.
Heart rate and respiratory rate were monitored for the duration of the procedure.
The bandage and splint were removed.
The wing was massaged and put through a passive range of motion.
The elbow had adequate range of motion while the carpal joint was more tense.
Still mild instability at the fracture site, but a fibrous callus was palpated at the metacarpal region and the instability appears to be improving.
The SAM splint was replaced with a cast padding cushion placed over it.
The wing was wrapped with vetwrap in a figure eight pattern.
Recovery from anesthesia was smooth.

placed carpal bumper on left wing

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before  
After150145
2024-04-26 11:07 CG

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Did not eat 13 grams
No pellet left
Bandage still intact

2024-04-26 10:22 re

ALL MEDS PO
======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
==============================

2024-04-25 16:45 CG

ALL MEDS PO
Assisted Feed: 14g (left 16g in cage overnight)
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-25 10:09 CG

ALL MEDS PO
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-24 16:14 BT

Food: 15g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-24 11:58 SAK

======= TREATMENT PLAN =======
Food: 15g M, Ch BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
==============================
Decreased food amount BID

2024-04-24 11:52 SAK
Weight: 357 grams
Food: 20g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

Decrease 1% BW

2024-04-23 15:41 CG

Food: 20g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-23 10:04 CG

Food: 20g M, Ch
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR
Did not eat 12g
No pellet observed

2024-04-23 09:00 SAK

======= TREATMENT PLAN =======
Food: 20g M, Ch BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
Weigh: SID
==============================

2024-04-22 16:52 SAK

Food: 40g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-22 16:45 CG

Radiographs
Right lateral extremity and right cranial-caudal extremity views were performed under anesthesia.
Induced and maintained on Isoflurane.
The site of the right metacarpal fracture showed improvement and bony remodeling.
Recheck radiographs in 3-4 weeks.

PT ROM was performed under anesthesia
Heart rate and respiratory rate were monitored for the duration of the radiographs and PT.
Right wing metacarpal fracture still has some instability.
The right wing was wrapped in a wing to body pattern.

2024-04-22 13:16 SAK

NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO
PT: PROM Right wing

BAR
Left Pellet
Did not eat 11 grams

2024-04-21 16:22 MM

Food: 20g M
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-21 10:48 MM

Food: 20g M
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR, left pellet, left 27 g of food.

2024-04-20 15:36 MM

Food: 20g M
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-20 10:21 MM

Food: 25g M

Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR, left 15 g of food, no pellet.

Bandage was intact, will give patient another day of monitoring food intake, if still not eating well by tomorrow should rewrap wing and discuss additinal analgesics for patient.

2024-04-19 16:42 AN

Food: 20g M,

2024-04-19 16:00 MM

Food: 20g M, Ch
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO
Bandage intact.

2024-04-19 11:13 SAK

======= TREATMENT PLAN =======
Food: 20g M, Ch BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) BID PO
==============================
Updated NPO/PT Days

2024-04-19 09:15 MM

Food: 20g M
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO
BAR, left 40 g of food, no pellet, bandage intact.

Monitor if eating over the weekend, if patient leaves food tomorrow morning may need to re-wrap the wing and apply a splint back into the bandage.

2024-04-18 16:40 SAK

Food:43g M
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

2024-04-18 10:48 MM

------------- LASER THERAPY ----------------
Power (joules): 206
Time: 3:26 minutes
Location: right wing at metacarpal region
Notes: Laser therapy with non-contact head. Patient was induced at 5% ISO via mask and maintained at 4% ISO . Hear rate was monitored via auscultation and respiration rate was monitored via visualization. On palpation of the fracture site the callous had minimal instability, we were concerned that the SAM splint may be applying pressure to the callous so we opted to do a figure 8 wrap with no splint. The patient recovered unevenfully.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before140135
After150180
2024-04-18 10:14 MM

NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.24 ml (1.5 mg/ml soln) PO

BAR, ate well over night, left pellet.

2024-04-18 08:31 SAK

Updated medication doses based on a latest weight of 361 g

2024-04-18 08:31 SAK

======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) BID PO
Check bandage
==============================

2024-04-17 16:57 MM

Food: 21g M, Ch cut up
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO
Check bandage: Clean, dry, intact

2024-04-17 08:53 MM

Food: 20g M, Ch cut up
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO
Check bandage: clean, dry, intact
QAR, ate well, left pellet.

2024-04-17 08:28 SAK

======= TREATMENT PLAN =======
Food: 20g M, Ch cut up BID
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) BID PO
Check bandage
==============================
Bup to PT days only

2024-04-17 08:13 MM
Weight: 361 grams
Weight gain 6% BW

2024-04-16 16:26 MM

Food: 20g M, Ch cut up
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO
Check bandage: bandage clean, dry, intact

2024-04-16 09:08 CG

Food: 20g M, Ch cut up
Buprenorphine: 0.06ml (1.8mg/ml) SQ
Meloxicam: 0.23ml (1.5mg/ml soln) PO

BAR
Left pellet
left 3g of food

2024-04-15 16:37 MM

Meloxicam: 0.23 ml (1.5 mg/ml soln) PO
Food: 40 g M cut up

2024-04-15 15:08 MM

------------- LASER THERAPY ----------------
Power (joules): 206
Time: 3:26 minutes
Location: Right wing at metacarpal region
Notes: 026 was induced at 9:55 am with 5% ISO and was maintained under anesthesia at 3% ISO until 10:25 am via mask. Initial heart rate was 570 bpm and respiration rate was 70, both were monitored through auscultation and visualization throughtout the procedure. The right wing was treated at the level of the metacarpal bones and a SAM splint was placed with a figure 8 wrap once the laser thereapy and PT were complete.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before130 
After150 
Notes
Patient seemed to have good range of motion of the elbow, the carpus was not measured at this time but appeared to have good range of motion.
2024-04-15 09:00 MM

NPO
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO
Check bandage: clean and dry, intact.

QAR, left 3 grams of food over night, no pellet.

2024-04-14 15:51 CG

Food: 20g M, Ch cut up
Meloxicam: 0.23ml (1.5mg/ml soln)

2024-04-14 09:53 CG

Food: 20g M, Ch cut up
Buprenorphine: 0.06ml (1.8mg/ml) SQ
Meloxicam: 0.23ml (1.5mg/ml soln)

BAR
Left pellet

2024-04-13 15:40 BE

Food: 21g M cut up
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO

2024-04-13 07:57 BE

Food: 21g M, Ch cut up
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO

BAR, ate all food, left one pellet, bandage in place

2024-04-12 15:24 BE

Food:20g M, Ch cut up
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO

2024-04-12 13:30 re

Food: 22g M, Ch cut up
Buprenorphine SR: 0.06 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO

BAR, one pellet

2024-04-11 16:52 Michelle

Serum chemistry
Collection date2024-04-11
AST491 U/LPhos3.4 mg/dl
BA24 umol/LTP3.3 g/dl
CK4963 U/LAlb0.0 g/dl
UA24.6 mg/dlGlob0.0 g/dl
Glu318 mg/dlK+2.8 mmol/l
Ca9.0 mg/dlNa+147 mmol/l
  AMY421 U/L
Hem 0, Lip 1, Ict
CBC
Collection date2024-04-11
WBC count16600
Corrected count16600
Hets/Neut77% - 12782
  Bands0+
  Toxics0+
Lymphs12% - 1992
Eos4% - 664
Mono2% - 332
Baso5% - 830
Thrombocytes
PI1
HemoproteusNEG
LeukocytozoonNEG
PlasmodiumNEG
Read byUMiami Avian & Wildlife Lab
No significant abnormalities
2024-04-11 16:35 BT

40 g m cut up
Meloxicam: 0.23 ml (1.5 mg/ml soln) PO

2024-04-11 08:31 BE

NPO Laser and PT this PM
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.20 ml (1.5 mg/ml soln) PO

2024-04-11 08:16 SAK

Updated medication doses based on a latest weight of 342 g

2024-04-11 01:30 MM

------------- LASER THERAPY ----------------
Power (joules): 206
Time: 3:26 mins
Location: Right wing at metacarpal region
Notes: 026 was induced at 1:30 pm with 5% ISO and maintained under anesthesia with 3% ISO via mask until 1:49 pm. Initial heart rate was 300 bpm, heart rate and respiration rate were monitored throughout the entire procedure. The right wing was treated at the level of the metacarpal bones and a Sam splint was placed with a figure 8 wrap once the procedure and PT were complete.

Physical therapy
Limb/jointRight wing
TypePROM
 ElbowWrist
Before120150
After150180
Notes
PT was done under anesthesia, the fracture palpated unstable but there was evidence of callous formation. ROM improved after PT and a Sam splint with a figure 8 wrap was placed after PT and laser therapy were completed.
2024-04-10 16:12 CG

Food: 20g M, Ch cut up
Meloxicam: 0.20ml (1.5mg/ml soln) PO
Check bandage

2024-04-10 10:38 re
Weight: 342 grams
Food: 20g M, Ch cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.20 ml (1.5 mg/ml soln) PO
bandage in place
left food in cage to see if they will eat on their own

15% weight gain (wrap present)

2024-04-09 17:14 SAK

Food: 24g M, Ch cut up
Meloxicam: 0.20 ml (1.5 mg/ml soln) PO
Check bandage

2024-04-09 09:00 SAK

Food: 20g M, Ch cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.20 ml (1.5 mg/ml soln) PO
Check bandage

2024-04-08 16:27 AN

Food: 22g M, Ch cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.20 ml (1.5 mg/ml soln) PO
PT: PROM
Check bandage


2024-04-08 14:49 SAK

======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.20 ml (1.5 mg/ml soln) BID PO
PT: PROM
Check bandage
==============================
Switch to oral Meloxi

2024-04-08 12:50 re

Imagery report
Date2024-04-08
TypeRadiograph
Performed byDr. Oster
PositioningLateral wing and Caudal cranial
Equipment
LocationRight wing
Anesthesia
ISO via mask
Comments
026 was put under anesthesia with 5% ISO via mask and was kept under anesthesia for approximately 10 minutes while radiographs were taken. Radiographs revealed a simple complete transverse fractures of the major and minor metacarpal bones of the right wing. There is a slight rounding of the fracture segments which indicates that these fractures are older. Palpation of the fracture site revealed the beginnings of a fibrous callous but the fracture is not stable yet. We placed a figure 8 wrap and we plan to recheck radiographs in 4 weeks. 
2024-04-08 10:26 SAK

NPO: Radiographs
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
PT: PROM
Check bandage

2024-04-08 09:41 SAK

======= TREATMENT PLAN =======
NPO
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) BID SQ
PT: PROM
Check bandage
==============================

2024-04-07 16:02 CR

Food: 19g M cut up
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
Check bandage, intact and on

2024-04-07 10:29 CR

Food: 20g M cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
Check bandage, still intact and on
QAR, upright on perch, normal mutes, two pellets

2024-04-06 15:56 CR

Food: 21g M cut up
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ

2024-04-06 11:04 CR

Food: 20g M, Ch cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
QAR, upright on perch, normal mutes, no pellet, bandage in place

2024-04-05 16:38 BT

Food: 23g M, Ch cut up
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ

2024-04-05 12:00 SAK

Labwork sent to UM

PCV/TP
Collection date2024-04-05 12:00:00
PCV34 %
TS3.6 g\dl
Serum
Blood lead
Collection date2024-04-05
Level0.00
2024-04-05 10:34 re

Sample
Collection date2024-04-03
Typechoanal/cloacal swab
Notes:
Results:
AI PCR : Not detected
2024-04-05 09:41 SAK

Tweezer Feed: 20g M, Ch cut up
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
Bandage in place.
Feces present

2024-04-04 16:51 AMS

Tweezer fed: 20g M, Ch cut up - Tweezer fed
SQ fluids: LRS 7.5ml until 2024-04-04
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ

Removed wing wrap. Placed new wing-to-body wrap with SAM splint on R wing.
AMS

2024-04-04 10:03 Allison

SQ fluids: LRS 7.5ml until 2024-04-04
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
Check bandage - vet wrap coming loose/wrickled at top, removed that section and covered with another piece of vet wrap
Leftovers: 28g (did not eat portion left overnight)

2024-04-04 08:16 SAK

======= TREATMENT PLAN =======
Food: 20g M, Ch cut up BID
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) BID SQ
Check bandage
==============================

2024-04-03 17:03 Allison

Feed: 28 g M (left in cage)
SQ fluids: LRS 7.5ml until 2024-04-04
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) SQ
Check bandage - bandage intact

2024-04-03 16:56 re

Image uploaded of radiograph taken at Alford Ave Vet Hospital

2024-04-03 14:55 AMS

======= TREATMENT PLAN =======
SQ fluids: LRS 7.5ml BID until 2024-04-04
Buprenorphine SR: 0.05 ml (1.8 mg/ml SR) SID SQ
Meloxicam: 0.06 ml (5 mg/ml (Injectable)) BID SQ
Check bandage
==============================

2024-04-03 14:21 AMS
Weight: 297 grams, BCS: 2.0

------------- PHYSICAL EXAM FINDINGS ----------------
Attending Veterinarian: Dr. Amberly Sokoloff
Observational examination
Mentation: BAR
Posture: standing in box
Vital stats
Heart rate: 530
Respiratory rate: 25
Auscultation: no m/a, lungs and air sacs clear
Mucous membranes: light pink, slightly tacky
Dehydration: <5%
Physical examination: .
Oral cavity: small abrasions/lesions at comissures
Choana: wnl, clear
Glottis: wnl, clear
Beak: wnl
Cere/nares: wnl
Eyes: NSF
Ears: NSF
Crop: empty
Feather quality: adequate
Wings: L wnl; R fracture with crepitus at metacarpal bones, possible crepitus at digit 2 as well, but soft tissue swelling hinders palpation
Wings - Range of motion: L wnl, did not fully extend R due to fracture
Wings - Patagium: wnl
Legs/Feet: mild abrasions on dorsal aspect of digits
Legs/Feet - Range of motion: wnl
Legs/Feet - Plantar surface: wnl
Legs/Feet- Talons: wnl
Ceolom: wnl, empty
BCS: 2
Vent: wnl, clean
Droppings: DNE
Uropygial gland: DNE

Problem list:
R metacarpal fracture
Soft tissue swelling distal R wing
Mild dehydration

Diagnosis: trauma of unknown cause

Plan:
Tx
LRS 7.5ml SQ (1/2 maintenance)
Meloxicam 1mg/kg SQ BID
Buprenorphine 0.3mg/kg SQ SID
R Wing-to-body wrap applied

Dx
AI swab collected
Radiographs once cleared

Prognosis: Unknown

AMS

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